We carried out a review of the data available to us about Highfield Surgery on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Highfield Surgery, you can give feedback on this service.
We carried out an announced comprehensive inspection at Highfield Surgery on 17 November 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
There was an effective system in place for reporting and recording significant events and lessons were shared to make sure action was taken to improve safety in the practice.
There was a system in place to review and action MHRA alerts, however we noted not all alerts from the Department of Health were actioned accordingly. For example, estates and facilities alerts.
The practice had systems, processes and practices in place to keep patients safe and safeguarded from abuse.
There was a system in place to monitor the use of prescription forms, but not prescription pads.
Most risks to patients were assessed and managed. However, not all identified actions were carried out.
Staff assessed needs and delivered care in line with current evidence based guidance. Data from the Quality and Outcomes Framework (QOF) showed patient outcomes were above average compared to the national average in several areas.
Staff had the skills, knowledge and experience to deliver effective care and treatment.
There was evidence of appraisals for all staff.
Staff worked with other health care professionals to understand and meet the range and complexity of patients’ needs.
Staff were aware of their responsibilities in relation to the Mental Capacity Act and had undergone training.
The practice promoted health education and self-management of medical conditions for patients to live a healthier lifestyle.
Patients said they were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
Data from the national GP patient survey showed patients rated the practice higher than others for several aspects of care.
Information for patients about the services available was easy to understand and accessible.
We saw staff treated patients with kindness and respect, and maintained patient and information confidentiality.
Practice staff reviewed the needs of its local population and engaged with the NHS England Area Team and Clinical Commissioning Group to secure improvements to services where these were identified.
The practice had good facilities and was well equipped to treat patients and meet their needs.
The practice had a vision to deliver quality care and promote good outcomes for patients, within a family practice environment.
There was a leadership structure and staff felt supported by management. The practice had a number of policies and procedures to govern activity.
There was a governance framework which supported the delivery of the strategy and good quality care.
The practice sought feedback from staff and patients, which it acted on.
The areas where the provider should make improvement are:
Document the flushing of the taps and water temperatures.
Review the monitoring system of prescription pads.
Review all alerts and ensure action is taken as appropriate.
Chief Inspector of General Practice
We carried out an announced follow up inspection of Highfield Surgery, 25 Severn Street, Leicester, Leicestershire, LE2 0NN on 17 December 2015.
Our previous inspection in April 2015 had found breaches of regulations relating to safe delivery of services and services being well-led.
We found the practice had made improvements since our last inspection in April 2015. Specifically the practice was:
The practice had an approved set of Patient Group Directives to allow specified staff to administer a medicine directly to patients without the need for a prescription.
The areas where the provider should make improvement are:
We have changed the rating for this practice to reflect these changes. The practice is now rated good for the provision of safe services and requires improvement for the provision of well-led services. The practice had been rated as good for the provision of effective, caring and responsive services.
Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Highfields Surgery – S R Choudhary on 8 April 2015. Overall the practice is rated as requires improvement.
Specifically, we found the practice to require improvement for providing safe and well led services. It also required improvement for providing services for all the population groups. It was good for providing an effective, caring and responsive service.
Our key findings across all the areas we inspected were as follows:
The areas where the provider must make improvements are:
In addition the provider should:
For example, consent, fire, infection control, chaperone, Gillick competencies and Mental Capacity Act 2005.
Chief Inspector of General Practice
Highfields Surgery, 25 Severn Street is located in the centre of Leicester. The practice provides primary medical services to the area of Highfields. On the day of our inspection the practice served 3,342 patients.
We reviewed written and verbal feedback from patients and observed staff interaction.
We spoke with six patients and the feedback we received was mainly positive.
We spoke with six members of staff. They gave positive examples of how they considered patients views about the way the practice was run and with regard to their individual health needs and treatments.
The practice demonstrated that it understood the local patient population and provided flexible and responsive services to meet patients’ needs. Patients told us they felt safe, the staff were kind, caring and respectful and the practice was well led.
We found that the practice was responsive to the needs of older people, people with long term conditions, mothers, babies, children and young people, the working age population, people in vulnerable circumstances and people experiencing poor mental health.
We have asked the practice to take action on six issues where we found that improvements were needed.
The provider was in breach of regulations related to:
Please note that when referring to information throughout this report, for example any reference to the Quality and Outcomes Framework data, this related to the most recent information available to the CQC at that time.